Modified Powell-Tuck index 34
| General health | |
| Good | 0 |
| Slightly impaired | 1 |
| Activity reduced | 2 |
| Unable to work | 3 |
| Abdominal pain | |
| Absent | 0 |
| With bowel actions | 1 |
| Prolonged episodes | 2 |
| Bowel frequency | |
| <3 | 0 |
| 3–6 | 1 |
| >6 | 2 |
| Stool | |
| Formed | 0 |
| Semi-formed | 1 |
| Liquid | 2 |
| Blood in stool | |
| Absent | 0 |
| Trace | 1 |
| More than trace | 2 |
| Anorexia | |
| No | 0 |
| Yes | 1 |
| Nausea/vomiting | |
| No | 0 |
| Yes | 1 |
| Abdominal tenderness | |
| Absent | 0 |
| Mild | 1 |
| Marked | 2 |
| Rebound | 3 |
| Eye inflammation | |
| Arthralgia | |
| Oral ulceration | |
| Related skin lesions | |
| Absent | 0 |
| 1 mild | 1 |
| 1 severe or >1 | 2 |
| Body temperature | |
| Absent | 0 |
| 37.1–38 | 1 |
| >38 | 2 |
| Total |